Nancy Smith Wallace in Lake Bluff - General Practice

Nancy Smith Wallace - NPI 1144341876

Nancy Smith Wallace is a General Practice in Lake Bluff, Illinois. Nancy Smith Wallace practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nancy Smith Wallace is 1144341876. The last update date is 2007-07-08.

Nancy Smith Wallace's current location address is 301 Briar Ln, Lake Bluff, Illinois. You can contact this provider via phone number 8477359468 and fax number 8477359572. The mailing address for Nancy Smith Wallace is 301 Briar Ln, Lake Bluff, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Nancy Smith Wallace
Address 301 Briar Ln, Lake Bluff, Illinois
Phone Number 8477359468
Fax Number 8477359572
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1144341876
Provider Enumeration Date 2007-04-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 301 Briar Ln
City Lake Bluff
State Illinois (IL)
Post Code 600442750
Phone Number 8477359468
Fax Number 8477359572

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Nancy Smith Wallace

What is the unique 10-digit identification code assigned to Nancy Smith Wallace by the Centers for Medicare & Medicaid Services?

The Nancy Smith Wallace has been issued the NPI (National Provider Identifier) 1144341876, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Nancy Smith Wallace is geographically located?

The Nancy Smith Wallace is physically situated at the following location: 301 Briar Ln, Lake Bluff, IL, 600442750.

What is Nancy Smith Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Nancy Smith Wallace is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did Nancy Smith Wallace receive its 1144341876 assignment from the Centers for Medicare & Medicaid Services?

The Nancy Smith Wallace was assigned its 1144341876 on 2007-04-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Nancy Smith Wallace most recently updated or revised?

The details related to Nancy Smith Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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